AHIP./Medicare./Training./Module./1./Final./Review
What./impact,./if./any,./have./recent./regulatory./changes./had./upon./Me
digap./plans?
A../The./Part./A./deductible./is./no./longer./covered./under./Medigap./pl
ans./for./all./enrollees./starting./January./1,./2020.
B../The./Part./A./deductible./is./no./longer./covered./for./individuals./ne
wly./eligible./for./Medicare./starting./January./1,./2020.
C../The./Part./B./deductible./is./no./longer./covered./for./individuals./ne
wly./eligible./for./Medicare./starting./January./1,./2020.
D../The./Part./B./deductible./is./now./covered./for./some./newly./eligible
./individuals./depending./on./their./financial./status../-
./correct./answer./C../The./Part./B./deductible./is./no./longer./covered./fo
r./individuals./newly./eligible./for./Medicare./starting./January./1,./2020.
Explanation:./Starting./January./1,./2020,./Medigap./plans./sold./to./indi
viduals./who./are./newly./eligible./to./Medicare./are./no./longer./allowed
./to./cover./the./Part./B./deductible../If./an./individual./already./had./one.
/of./the./plans./before./January./1,./2020,./they./can./keep./their./plan../If.
/an./individual./was./eligible./for./Medicare./before./January./1,./2020,./b
ut./are./not./yet./enrolled,./he./or./she./may./be./able./to./purchase./one./o
f./these./plans.
Mrs../Geisler's./neighbor./told./her./she./should./look./at./her./Part./D./op
tions./during./the./annual./Medicare./enrollment./period./because./featur
es./of./Part./D./might./have./changed../Mrs../Geisler./can't./remember./w
,hat./Part./D./is./so./she./called./you./to./ask./what./her./neighbor./was./tal
king./about../What./could./you./tell./her?
A../Part./D./covers./hospital./and./home./health./services./and./the./cost-
sharing./has./changed./this./year../
B../Part./D./covers./physician./and./non-
physician./practitioner./services./and./the./deductible./has./not./changed./
this./year,./but./the./physician./charges./may./go./up.
C../Part./D./covers./prescription./drugs./and./she./should./look./at./her./pr
emiums,./formulary,./and./cost-
sharing./among./other./factors./to./see./if./they./have./changed.
D../Part./D./covers./long-
term./care./services./and./she./shouldn't./worry./because./there./has./been
./no./change./in./coverage../-
./correct./answer./C../Part./D./covers./prescription./drugs./and./she./shoul
d./look./at./her./premiums,./formulary,./and./cost-
sharing./among./other./factors./to./see./if./they./have./changed.
Explanation:./Part./D./provides./prescription./drug./coverage../Premiums
,./plan./formularies,./and./cost-
sharing,./among./other./factors,./may./change./from./one./plan./year./to./
another.
Mrs../Shields./is./covered./by./Original./Medicare../She./sustained./a./hip
./fracture./and./is./being./successfully./treated./for./that./condition../How
ever,./she./and./her./physicians./feel./that./after./her./lengthy./hospital./st
ay./she./will./need./a./month./or./two./of./nursing./and./rehabilitative./car
, e../What./should./you./tell./them./about./Original./Medicare's./coverage./
of./care./in./a./skilled./nursing./facility?
A../Medicare./will./cover./an./unlimited./number./of./days./in./a./skilled-
nursing./facility,./as./long./as./a./physician./certifies./that./such./care./is./
needed.
B../Mrs../Shields./will./have./to./apply./for./Medicaid./to./have./her./skill
ed./nursing./services./covered./because./Medicare./does./not./provide./su
ch./a./benefit.
C../Once./she./has./expended./her./liquid./assets,./Medicare./will./cover./
80%./of./Mrs../Shield's./long-term./care./costs.
D../Medicare./will./cover./Mrs../Shield's./skilled./nursing./services./prov
ided./during./the./first./20./days./of./her./stay,./after./which./she./would./
have./a./copay./until./she./has./been./in./the./f./-
./correct./answer./D../Medicare./will./cover./Mrs../Shield's./skilled./nursi
ng./services./provided./during./the./first./20./days./of./her./stay,./after./w
hich./she./would./have./a./copay./until./she./has./been./in./the./facility./fo
r./100./days.
Explanation:./Mrs../Shields./has./experienced./a./long./hospital./stay,./ov
er./the./3-
day./time./period./to./qualify./for./skilled./nursing./and./rehabilitative./ca
re./benefits./under./Medicare.
Mr../Rainey./is./experiencing./paranoid./delusions./and./his./physician./f
eels./that./he./should./be./hospitalized../What./should./you./tell./Mr../Rai
What./impact,./if./any,./have./recent./regulatory./changes./had./upon./Me
digap./plans?
A../The./Part./A./deductible./is./no./longer./covered./under./Medigap./pl
ans./for./all./enrollees./starting./January./1,./2020.
B../The./Part./A./deductible./is./no./longer./covered./for./individuals./ne
wly./eligible./for./Medicare./starting./January./1,./2020.
C../The./Part./B./deductible./is./no./longer./covered./for./individuals./ne
wly./eligible./for./Medicare./starting./January./1,./2020.
D../The./Part./B./deductible./is./now./covered./for./some./newly./eligible
./individuals./depending./on./their./financial./status../-
./correct./answer./C../The./Part./B./deductible./is./no./longer./covered./fo
r./individuals./newly./eligible./for./Medicare./starting./January./1,./2020.
Explanation:./Starting./January./1,./2020,./Medigap./plans./sold./to./indi
viduals./who./are./newly./eligible./to./Medicare./are./no./longer./allowed
./to./cover./the./Part./B./deductible../If./an./individual./already./had./one.
/of./the./plans./before./January./1,./2020,./they./can./keep./their./plan../If.
/an./individual./was./eligible./for./Medicare./before./January./1,./2020,./b
ut./are./not./yet./enrolled,./he./or./she./may./be./able./to./purchase./one./o
f./these./plans.
Mrs../Geisler's./neighbor./told./her./she./should./look./at./her./Part./D./op
tions./during./the./annual./Medicare./enrollment./period./because./featur
es./of./Part./D./might./have./changed../Mrs../Geisler./can't./remember./w
,hat./Part./D./is./so./she./called./you./to./ask./what./her./neighbor./was./tal
king./about../What./could./you./tell./her?
A../Part./D./covers./hospital./and./home./health./services./and./the./cost-
sharing./has./changed./this./year../
B../Part./D./covers./physician./and./non-
physician./practitioner./services./and./the./deductible./has./not./changed./
this./year,./but./the./physician./charges./may./go./up.
C../Part./D./covers./prescription./drugs./and./she./should./look./at./her./pr
emiums,./formulary,./and./cost-
sharing./among./other./factors./to./see./if./they./have./changed.
D../Part./D./covers./long-
term./care./services./and./she./shouldn't./worry./because./there./has./been
./no./change./in./coverage../-
./correct./answer./C../Part./D./covers./prescription./drugs./and./she./shoul
d./look./at./her./premiums,./formulary,./and./cost-
sharing./among./other./factors./to./see./if./they./have./changed.
Explanation:./Part./D./provides./prescription./drug./coverage../Premiums
,./plan./formularies,./and./cost-
sharing,./among./other./factors,./may./change./from./one./plan./year./to./
another.
Mrs../Shields./is./covered./by./Original./Medicare../She./sustained./a./hip
./fracture./and./is./being./successfully./treated./for./that./condition../How
ever,./she./and./her./physicians./feel./that./after./her./lengthy./hospital./st
ay./she./will./need./a./month./or./two./of./nursing./and./rehabilitative./car
, e../What./should./you./tell./them./about./Original./Medicare's./coverage./
of./care./in./a./skilled./nursing./facility?
A../Medicare./will./cover./an./unlimited./number./of./days./in./a./skilled-
nursing./facility,./as./long./as./a./physician./certifies./that./such./care./is./
needed.
B../Mrs../Shields./will./have./to./apply./for./Medicaid./to./have./her./skill
ed./nursing./services./covered./because./Medicare./does./not./provide./su
ch./a./benefit.
C../Once./she./has./expended./her./liquid./assets,./Medicare./will./cover./
80%./of./Mrs../Shield's./long-term./care./costs.
D../Medicare./will./cover./Mrs../Shield's./skilled./nursing./services./prov
ided./during./the./first./20./days./of./her./stay,./after./which./she./would./
have./a./copay./until./she./has./been./in./the./f./-
./correct./answer./D../Medicare./will./cover./Mrs../Shield's./skilled./nursi
ng./services./provided./during./the./first./20./days./of./her./stay,./after./w
hich./she./would./have./a./copay./until./she./has./been./in./the./facility./fo
r./100./days.
Explanation:./Mrs../Shields./has./experienced./a./long./hospital./stay,./ov
er./the./3-
day./time./period./to./qualify./for./skilled./nursing./and./rehabilitative./ca
re./benefits./under./Medicare.
Mr../Rainey./is./experiencing./paranoid./delusions./and./his./physician./f
eels./that./he./should./be./hospitalized../What./should./you./tell./Mr../Rai
